School of Public Health
Permanent URI for this communityhttp://hdl.handle.net/1903/1633
The collections in this community comprise faculty research works, as well as graduate theses and dissertations.
Note: Prior to July 1, 2007, the School of Public Health was named the College of Health & Human Performance.
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Item Physical Activity and Brain Function in Older Adults at Increased Risk for Alzheimer’s Disease(MDPI, 2013-01-14) Smith, J. Carson; Nielson, Kristy A.; Woodard, John L.; Seidenberg, Michael; Rao, Stephen M.Leisure-time physical activity (PA) and exercise training are known to help maintain cognitive function in healthy older adults. However, relatively little is known about the effects of PA on cognitive function or brain function in those at increased risk for Alzheimer’s disease through the presence of the apolipoproteinE epsilon4 (APOE-ε4) allele, diagnosis of mild cognitive impairment (MCI), or the presence of metabolic disease. Here, we examine the question of whether PA and exercise interventions may differentially impact cognitive trajectory, clinical outcomes, and brain structure and function among individuals at the greatest risk for AD. The literature suggests that the protective effects of PA on risk for future dementia appear to be larger in those at increased genetic risk for AD. Exercise training is also effective at helping to promote stable cognitive function in MCI patients, and greater cardiorespiratory fitness is associated with greater brain volume in early-stage AD patients. In APOE-ε4 allele carriers compared to non-carriers, greater levels of PA may be more effective in reducing amyloid burden and are associated with greater activation of semantic memory-related neural circuits. A greater research emphasis should be placed on randomized clinical trials for exercise, with clinical, behavioral, and neuroimaging outcomes in people at increased risk for AD.Item The Influence of Family Dog Ownership and Parental Perceived Built Environment Measures on Children’s Physical Activity within the Washington, DC Area(MDPI, 2017-11-16) Roberts, Jennifer D.; Rodkey, Lindsey; Grisham, Cortney; Ray, RashawnSedentary behavior and physical inactivity are significant contributors to youth obesity in the United States. Neighborhood dog walking is an outlet for physical activity (PA). Therefore, understanding the relationship between built environment, dog ownership, and youth PA is essential. This study examined the influence of dog ownership and parental built environment perceptions on children’s PA in the Washington, D.C. area. In 2014, questionnaires were mailed to 2000 parents to assess family dog ownership; children’s outdoor dog walking or playing; and parental perceived built environment measures. Chi-square analyses examined differences in parental perceived built environment measures between children with and without family dogs. The sample included 144 children (50% female; average-age 9.7 years; 56.3% White; 23.7% African-American; 10.4% Asian-American; 29.9% owned dog). Only 13% and 5.6% of the children walked or played outdoors with the dog daily, respectively. A significantly greater proportion (p-value < 0.05) of parents who owned dogs recognized and observed some home built environment measures (e.g., traffic speed on most streets is 30 mph or less) that were PA -promoting for their children. Findings suggest that dog ownership may provide more positive parental perceptions of the neighborhood built environment, which supports children’s outdoor PA through dog walking and playing.Item Google Street View Derived Built Environment Indicators and Associations with State-Level Obesity, Physical Activity, and Chronic Disease Mortality in the United States(MDPI, 2020-05-22) Phan, Lynn; Yu, Weijun; Keralis, Jessica M.; Mukhija, Krishay; Dwivedi, Pallavi; Brunisholz, Kimberly D.; Javanmardi, Mehran; Tasdizen, Tolga; Nguyen, Quynh C.Previous studies have demonstrated that there is a high possibility that the presence of certain built environment characteristics can influence health outcomes, especially those related to obesity and physical activity. We examined the associations between select neighborhood built environment indicators (crosswalks, non-single family home buildings, single-lane roads, and visible wires), and health outcomes, including obesity, diabetes, cardiovascular disease, and premature mortality, at the state level. We utilized 31,247,167 images collected from Google Street View to create indicators for neighborhood built environment characteristics using deep learning techniques. Adjusted linear regression models were used to estimate the associations between aggregated built environment indicators and state-level health outcomes. Our results indicated that the presence of a crosswalk was associated with reductions in obesity and premature mortality. Visible wires were associated with increased obesity, decreased physical activity, and increases in premature mortality, diabetes mortality, and cardiovascular mortality (however, these results were not significant). Non-single family homes were associated with decreased diabetes and premature mortality, as well as increased physical activity and park and recreational access. Single-lane roads were associated with increased obesity and decreased park access. The findings of our study demonstrated that built environment features may be associated with a variety of adverse health outcomes.Item Emotional processing and positive affect after acute exercise in healthy older adults(Wiley, 2023-06-12) Kommula, Yash; Purcell, Jeremy J.; Callow, Daniel D.; Won, Junyeon; Pena, Gabriel S.; Smith, J. CarsonThe well-elucidated improvement of mood immediately after exercise in older adults presumably involves adaptations in emotion-processing brain networks. However, little is known about effects of acute exercise on appetitive and aversive emotion-related network recruitment in older adults. The purpose of this study was to determine the effect of acute exercise, compared to a seated rest control condition, on pleasant and unpleasant emotion-related regional activation in healthy older adults. Functional MRI data were acquired from 32 active older adults during blocked presentations of pleasant, neutral and unpleasant images from the International Affective Pictures System. fMRI data were collected after participants completed 30 min of moderate to vigorous intensity cycling or seated rest, performed in a counterbalanced order across separate days in a within-subject design. The findings suggest three ways that emotional processing in the brain may be different immediately after exercise (relative to immediately after rest): First, reduced demands on emotional regulation during pleasant emotional processing as indicated by lower precuneus activation for pleasant stimuli; second, reduced processing of negative emotional stimuli in visual association areas as indicated by lower activation for unpleasant stimuli in the bilateral fusiform and ITG; third, an increased recruitment in activation associated with regulating/inhibiting unpleasant emotional processing in the bilateral medial superior frontal gyrus (dorsomedial prefrontal cortex), angular gyri, supramarginal gyri, left cerebellar crus I/II and a portion of right dorsolateral prefrontal cortex. Overall, these findings support that acute exercise in active older adults alters activation in key emotional processing and regulating brain regions.Item Effects of acute aerobic exercise on mnemonic discrimination performance in older adults(Cambridge University Press, 2022-08-15) Callow, Daniel D.; Pena, Gabriel S.; Stark, Craig E. L.; Smith, J. CarsonObjectives:Ample evidence suggests exercise is beneficial for hippocampal function. Furthermore, a single session of aerobic exercise provides immediate benefits to mnemonic discrimination performance, a highly hippocampal-specific memory process, in healthy younger adults. However, it is unknown if a single session of aerobic exercise alters mnemonic discrimination in older adults, who generally exhibit greater hippocampal deterioration and deficits in mnemonic discrimination performance. Methods: We conducted a within subject acute exercise study in 30 cognitively healthy and physically active older adults who underwent baseline testing and then completed two experimental visits in which they performed a mnemonic discrimination task before and after either 30 min of cycling exercise or 30 min of seated rest. Linear mixed-effects analyses were conducted in which condition order and age were controlled, time (pre vs. post) and condition (exercise vs. rest) were modeled as fixed effects, and subject as a random effect. Results: No significant time by condition interaction effect was found for object recognition (p = .254, η2 =.01), while a significant reduction in interference was found for mnemonic discrimination performance following the exercise condition (p = .012, η2 =.07). A post-intervention only analysis indicated that there was no difference between condition for object recognition (p = .186, η2 =.06), but that participants had better mnemonic discrimination performance (p < .001, η2 =.22) following the exercise. Conclusions: Our results suggest a single session of moderate-intensity aerobic exercise may reduce interference and elicit better mnemonic discrimination performance in healthy older adults, suggesting benefits for hippocampal-specific memory function.Item Content and Feature Preferences for a Physical Activity App for Adults With Physical Disabilities: Focus Group Study(JMIR Publications, 2019-10-11) Olsen, Sara H.; Saperstein, Sandra L.; Gold, Robert S.Background: Hundreds of thousands of mobile phone apps intended to improve health and fitness are available for download across platforms and operating systems; however, few have been designed with people with physical disabilities in mind, ignoring a large population that may benefit from an effective tool to increase physical activity. Objective: This study represents the first phase in the development process of a fitness tracking app for people with physical disabilities interested in nontraditional sport. The aim of this research was to explore user preferences for content, appearance, and operational features of a proposed physical activity app for people with physical disabilities to inform the design of a mobile phone app for increasing physical activity. Methods: Four focus groups were conducted with 15 adults with physical disabilities who currently participate in nontraditional, non-Paralympic sport. Data collected from the focus group sessions centered on content, functionality, and appearance of apps currently used by participants as well as preferences for a future app. Results: Participants (mean age 35.7, SD 9.2 years) were mostly white (13/15, 87%), and all were currently participating in CrossFit and at least one other sport. Five main themes were identified. Themes included preferences for (1) workout-specific features that were tailored or searchable by disability, (2) user experience that was intuitive and accessible, (3) profile personalization options, (4) gamification features that allowed for competition with self and other users, and (5) social features that allowed increased interaction among users. Participants expressed a primary interest in having a fitness app that was designed for people with physical disabilities such that the features present in other fitness tracking apps were relevant to them and their community of adaptive athletes. Conclusions: The results showed that features related to user experience, social engagement, and gamification are considered important to people with physical disabilities. Features highlighted by participants as most desired, from a consumer perspective, were in line with research identifying attributes of quality apps that use behavior change techniques to influence positive physical activity behavior change. Such insights should inform the development of any fitness app designed to integrate users with disabilities as a primary user base.Item Policing the Void: Recreation, Social Inclusion and the Baltimore Police Athletic League(Cogitatio, 2017-06-29) Bustad, Jacob J.; Andrews, David L.In this article, we explore the relationship between public recreation policy and planning and the transformation of urban governance in the context of the Police Athletic League centers in Baltimore, Maryland. In light of contemporary discussions of the role of youth programs for sport and physical activity within post-industrial cities, the origination, development, and eventual demise of Baltimore’s network of Police Activity League centers is an instructive, if disheartening, saga. It illustrates the social and political rationales mobilized in justifying recreation policy and programming, the framing of sport and physical activity as preventative measures towards crime and juvenile delinquency, and the precarity of such initiatives given the efficiency-driven orthodoxies of neoliberal urban entrepreneurialism (Harvey, 1989). This analysis emphasizes how the PAL centers were designed to ‘fill the void’ left by a declining system of public recreation, thereby providing an example of a recreation program as part of the “social problems industry” (Pitter & Andrews 1997).Item What Makes "Fun" Fun? Insights into Children's Participation in Physical Activity(2015) Hopple, Christine J.; Andrews, David; Graham, George; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)A rapidly accumulating body of literature points to fun as an important factor in the physical activity participation choices of children. Few studies, however, have conducted systematic, in-depth investigations into what children mean when they say an activity is fun. Scanlan and Lewthwaite’s (1986) Sport Enjoyment Model was used to guide this inquiry into children’s enjoyment of physical activity in the contexts of Physical Education, organized youth, and recreation. This descriptive, mixed-methods study involved a convenience sample of 98 fourth through sixth graders from six classes in three non-traditional public schools in a mid-Atlantic state. Data collection methods included focus group and duo interviews, an activity-related drawing, and a quantitative measure including both Likert and open-ended questions. Qualitative data was inductively analyzed using comparative analysis techniques with triangulation occurring across all data sources. Findings suggest that the reasons children gave for enjoying and not enjoying physical activity were numerous, varied, and compelling in nature. Although many factors were perceived similarly by many children, others were perceived quite differently. Thus, there appears to be an idiomatic tendency of fun – that is, what each individual child will perceive to be either fun or not is particular to that specific child, with some factors being more salient than others. Contextual factors also strongly influence whether a child will find a specific physical activity to be fun or not, to the extent that these appear to have a stronger influence on the enjoyability of an activity than the activity itself. Lastly, data-gathering methods used with children (activity-oriented questions and card-sorting during focus group interviews) were very effective at stimulating discussion amongst children and uncovering what they think in a very non-threatening manner. Taken together, then, results suggest that the reasons as to why any given child will find an activity to be fun or not fun are complex, interwoven, highly individualistic, and dependent upon a number of contextual factors. Results can aid key players in developing policies and programs which hold the potential to increase children’s enjoyment in physical activity while concurrently decreasing their non-enjoyment of activity.Item Variability in Cognitive Performance and Learning in Younger and Older Adults Explained by Cardiovascular Fitness, Physical Activity, and APOE Genotype(2013) Kayes, Maureen K.; Hatfield, Bradley D; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)This dissertation investigated the association of physical activity with cognition in two cross-sectional studies. Physical activity has been positively associated with cognitive function, and in older adult populations has shown an additional benefit for carriers of the ApoE- å4 allele. Cognitive training has also revealed a benefit for improved cognitive performance. Questions remain, however, about the interaction of these factors in their relation with cognition. One study addressed the relationship between physical activity and cognitive performance during executive function and working memory challenges in adults ages 50-70, and the other explored the role that physical activity plays in learning in adults ages 22-50 undergoing an online cognitive training intervention. In both studies, regard for influence of the ApoE genotype was considered, and the concept of specificity of physical activity was explored through employment of measures of both cardiovascular fitness and weekly physical activity kilocalorie expenditure. The study of older adults revealed that performance on a working-memory task was positively related to weekly kilocalorie expenditure in APOE-å4 carriers, with no such benefit for non-carriers during a moderate challenge condition of the task, while a positive relationship was revealed for both å4 carriers and non-carriers during a more challenging condition, but the magnitude of the relationship was greater in å4 carriers. The study of younger adults revealed no transfer benefits for cognitive training; however, cardiovascular fitness was positively related to performance after the intervention on a transfer task of proactive interference, and a positive trend was also found for cardiovascular fitness on a divided-attention language vocabulary learning task. No association was observed with regard to APOE-å4 genotype for any post-intervention task or learning transfer challenge. Taken together, these studies reveal that physical activity is associated with improved cognition in younger and older adults alike, but with specificity as to volume or intensity of physical activity mediating the relationship, cognitive processes benefited, and the role that the APOE-å4 genotype plays.Item Independent and joint effects of parental attitudes and special health care needs on physical activity and screen time among chlldren and adolescents in the United States(2012) Gingold, Janet Ann; Carter-Pokras, Olivia; Epidemiology and Biostatistics; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)Sedentary lifestyles pose a threat to the health of children, especially those with special health care needs (SHCN). Using data from the 2007 National Survey of Children's Health, this study examined relationships between parental attitudes and low physical activity and high screen time among 6- to 17-year-olds with and without SHCN. Perceived limitation was associated with increased likelihood of low physical activity (AOR, 1.339; 95%CI, 1.079-1.662). Parenting stress (AOR, 1.189; 95%CI, 1.052-1.344) and lack of trust (AOR, 1.243; 95%CI, 1.104-1.399) were associated with increased likelihood of high screen time. Perceived limitation modified the effect of special health care needs status on high screen time. The likelihood of combined low physical activity and high screen time was greatest among children with SHCN whose parents reported both functional limitations in the child and parenting stress (AOR, 2.659; 95%CI, 1.741-4.060). Parental attitudes and SHCN should be addressed in interventions to promote active lifestyles.